Blueberry Dental Surgery Limited

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We found this practice was providing well-led care in accordance with the relevant regulations and had taken into consideration appropriate guidance.

The provider had made improvements in relation to the regulatory breach we found at our inspection on 4 February 2026.

Find out what we look at when we assess this area in our information about our new Single assessment framework.

The judgement for Shared direction and culture is based on the latest evidence we assessed for the Well-led key question.

The judgement for Capable, compassionate and inclusive leaders is based on the latest evidence we assessed for the Well-led key question.

The judgement for Freedom to speak up is based on the latest evidence we assessed for the Well-led key question.

The judgement for Workforce equality, diversity and inclusion is based on the latest evidence we assessed for the Well-led key question.

At the inspection on 9 September 2026, we found the practice had made the following improvements to comply with Regulation 17 good governance.

The practice had taken appropriate action to address the issues identified at the previous inspection and had strengthened oversight and leadership arrangements. Effective systems and processes had been implemented and were operating throughout the practice.

Staff involved in providing treatment under sedation had completed Immediate Life Support (ILS) training.

Appropriate records were available to demonstrate that the gas boiler had been serviced and maintained in line with relevant requirements.

The Electrical Installation Condition Report (EICR) had identified unsatisfactory findings; however, the practice had taken action and work was ongoing to address the identified issues.

Evidence was available to demonstrate that a critical examination had been completed for the most recently installed intra-oral X-ray machine.

Improvements had been made to fire safety management procedures, and the sharps risk assessment had been updated to accurately reflect current practice.

Recruitment processes had been strengthened to ensure the necessary pre-employment checks were carried out in accordance with relevant legislation. And clinical staff were appropriately qualified, registered with the General Dental Council, and held suitable indemnity cover.

Newly appointed staff had received an appropriate induction for their role, and training was effectively monitored to ensure staff remained up to date with mandatory training requirements and continuing professional development (CPD).

The practice was able to demonstrate that effective measures were in place to minimise the risk of Legionella and other waterborne bacteria in water systems. These measures were informed by a current risk assessment and relevant guidance, and all required actions identified in the assessment had been completed.

Effective protocols were also in place to support environmental cleaning.

Staff had completed a disability access audit and developed an action plan to continually improve accessibility for patients.

Overall, systems and processes were well embedded among staff, supporting the delivery of safe and effective care.

The judgement for Partnerships and communities is based on the latest evidence we assessed for the Well-led key question.

The judgement for Learning, improvement and innovation is based on the latest evidence we assessed for the Well-led key question.